Self Help UK

Beyond Diagnosis service request form

Self Help UK in partnership with Macmillan deliver a project offering emotional and practical support to people affected by cancer across Nottinghamshire.

The project can offer practical or emotional support. A client will be contacted by the project within 7 working days of this form being received.

Client details

Cancer diagnosis/family member or carer?
Who is involved?
Are there any known risks e.g. history of aggression or violence?
Are there any pets within the household?